Comen C80 User Manual
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Comen C80 User Manual

Multi-parameter veterinary monitor
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Multi-parameter Veterinary monitor
C80
User Manual
Shenzhen Comen Medical Instruments Co., Ltd.

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  • Page 1 Multi-parameter Veterinary monitor User Manual Shenzhen Comen Medical Instruments Co., Ltd.
  • Page 2 Copyright Version: A Time: 2012 /09 Part No. 046-000333-00 Statements Our Company makes no warranty of any kind with regard to this material, including(but not limited to) the implied warranties of merchantability and fitness for a particular purpose. Our Company assumes no responsibility for any errors that may appear in this document, or for incidental or consequential damage caused by the providing, performance and using of this manual.
  • Page 3 medical staff may suffer. Caution You should know the information for how to avoid the damage the equipment may suffer. Note: The important information you should know.

  • Page 4: Table Of Contents

    Contents Chapter1  General Information ....................1  1.1  General Information ....................2  1.2  Button Functions and Basic Operations ..............3  1.3  Screen display ......................4  1.4  External Socket ......................9  1.4.1  Left Panel ......................9  1.4.2  Right Panel ......................9  1.4.3  Rear Panel .......................
  • Page 5 4.1.1  STANDARD ....................28  4.1.2  LIST FACE ..................... 28  4.1.3  TREND SCREEN ................... 29  4.1.4  OxyCRG SCREEN ..................30  4.1.5  BIG FONT INTERFACE ................31  4.1.6  7-CH MULTI-LEADS DISPLAY ..............32  4.1.7  ANESTHESIA-GAS SCREEN (optional) ............33  Chapter5  Recording ....................... 34  5.1 ...
  • Page 6 8.8  Icon of Alarm Status ....................49  8.9  Setting the upper and lower limits of alarm ............50  Chapter9  Patient Safety ......................51  9.1  Environment ......................51  9.2  Power Source ......................51  9.3  Monitor earthing ..................... 52  9.4  Equal-potential earthing ..................52  9.5 ...
  • Page 7 13.2  Precautions in SpO2/Pulse Monitoring ..............85  13.3  Monitoring Procedures .................... 86  13.4  Measurement restriction ..................87  13.5  SpO2 Setting in the parameter area ................. 88  13.6  SPO2 setting in waveform area ................89  13.7  SPO2 setting in measurements ................89  13.8 ...
  • Page 8 16.8  Discharging Waste Gases ..................126  16.9  Maintenance and Cleaning of RESPIRONICS Branded Mainstream and Sdestream Modules 127  16.9.1  Common Cleaning ..................127  16.9.2  Airway Adapter for Cleaning Reusable Mainstream Sensor ......127  16.9.3  Method for Sterilizing Reusable Adapter ............127  16.9.4 ...
  • Page 9 18.13  Patents and Trademarks ..................162  18.14  Maintenance ......................162  18.15  Cleaning the Analyzer ................... 163  Appendix I.  Accessories ....................164  Appendix II.  Specification ....................166  Appendix III.  Description of System Alarm Prompt ............174  VIII...

  • Page 10: Chapter1 General Information

    Chapter1 General Information For information about the monitor, please read the General Information on the Monitor chapter. For introduction on various information displayed on screen, please read the Screen Display chapter. For operational methods, please read the Button Functions and Basic Operations chapter. For locations of various interfaces, please read the External Interfaces chapter.

  • Page 11: General Information

    Warning Equipments inter-connected with the monitor should form an equal-potential body (as protective effective earthing). Warning Users (doctors or nurses) should ensure safety of patients under monitoring, when the monitor is used together with electrosurgical equipments. 1.1 General Information Transport and Storage: Temperature: -20℃～+40℃...

  • Page 12: Button Functions And Basic Operations

    The outlet of the recorder is located on the left side of monitor and AC power line sockets are on the rear panel of the monitor. Figure 1-1 Multi-parameter Patient Monitor This monitor has rich functions, able to provide various functions such as visual/audio alarming, TREND storage &...

  • Page 13: Screen Display

    (FREEZE button): Press this button and all waveforms on the screen can be frozen in the normal mode. Press this button once again and the frozen waveforms can be freed. (PRINT button): Press this button to start a real-time recording. The recording length is determined according to the “real-time recording time”...
  • Page 14 Information Area Waveform Parameter Area Area Menu Area Figure 1-2 Main screen display ① Information Area ( ): Prompt message in the information area appears and disappears together with the reported state. In accordance with the content, it is divided into: 1.
  • Page 15 Sex: Male and Female. Weight(kg): patient’s weight Patient Type: neonatal, pediatric, adult Update patient: Replaced with new patients, once the update, delete the monitoring data on a patient 3. Time setup: set up local time time: display system time 4. Technical alarm: display technical alarm, such as ECG lead off. 5.
  • Page 16 chapter of each Parameter Setting. ③ ： Parameter Area( ) Parameters can display at the fixed position (as shown in ① ○ 12of the following picture), which are separately: ② ① ③ ④ ⑤ ⑥ ⑦ ○ ○ ○ ○ Figure 1-3 Main Screen —Heart Rate or Pulse Rate（...
  • Page 17 —Pulse Rate（unit：bpm） IBP (optional) — Invisive Blood Pressure (From left to right) Systolic, Diastolic, Mean (⑦, Unit: mmHg or kPa) TEMP —TEMP —Temperature（⑧,unit: ℃ ℉） CO2 (optional) —end-tidal CO2 (⑨, Unit: mmHg or kPa) —inspiratory CO2 (⑩, Unit: mmHg or kPa) ○...

  • Page 18: External Socket

    parameter. 5. NIBP STARTt: press this button to start/stop NIBP measurement. 6. FROZEN: the screen freezes when press this button, turn the knob to review all the waveform stored for the last 4 minutes. TREND GRAPH, TREND TABLE (TREND Figure), NIBP RECALL: refer to chapter 3 for details.

  • Page 19: Rear Panel

    ○ ① ECG1 ① ○ ② NELLCORSPO2 ② ③ ECG2 ○ ③ ④ IBP1 （optional） ○ ④ ⑤ Hidden NIBP ○ ⑥ TEMP1 ⑤ ⑦ TEMP2 ⑧ CO2（optional） ⑨ IBP2（optional） ⑩ ICG or Anesthesia Gas（optional） Fig 1-5 This symbol means “be careful”; refer to this manual for details. This symbol means this application part is of CF type, designed with special protection from electric shock (especially provided with F-type floating insulation apparatus for permissible leakage current) and suitable for the defibrillation process.

  • Page 20: Built-In Charge Battery

    ① ④ ② ○ ○ ○ ○ ○ ○ ○ Fig 1-7 rear panel socket ③ Fig 1-6 Rear Panel Handle 2.Fan 3.rear panel socket（Fig 1-7 ○ 1 Fuse-holder,○ 2 Power socket,○ 3 Equipotential socket,○ 4 Nurse call socket,○ 5 Network socket,○ 6 Channel socket,○ 7 VGA socket,4.Speaker Warning This network port can only be connected with CARL NOVEL’s central monitoring system.

  • Page 21: Chapter2 Monitor Assembly

    Chapter2 Monitor Assembly Caution For normal work of the monitor, before use please read this chapter and the Patient Safety chapter and assemble in accordance with the requirements. 2.1 Open Package and Check Carefully pick up the monitor and accessories from the package box, and properly keep the package materials for future transport or storage.

  • Page 22: Power On

    booted or not. 2.3 Power on The logo displays when the power is on, and appears the processing screen. After the 3~5 seconds checking process, the system enters the monitoring main screen and the users can start operations. Caution In case of any fatal errors found during the self-detection process, the system will alarm.

  • Page 23: Chapter3 System Menu

    Chapter3 System Menu The monitor system setting is more flexible. Monitoring, waveform speed, volume and output, all can be setup by user. Press the “ ” button or use turn-knob to choose main menu, popping up MAIN MENU. Fig 3-1 Main Menu MAIN MENU including: PATIENT MANAGE, SURVEY SETUP, SELECTION, MONITOR SETUP, FACE SELECT, TREND GRAPH, TREND TABLE, NIBP RECALL, ALM RECALL , WAVE RECALL ,INFO, DRUG CALC, MAINTAIN, DEMO.
  • Page 24 Fig 3-2 Patient Manage Users can set the following content: Bed NO. 0-999 for option, for example, 666 Name input patient name to the popping up menu Lock Shift Enter Caps Lock Caps shift delete clear enter （permanent） （one-off） Patient gender( female, male) PAT TYPE PATIENT TYPE (big，small) Weight(kg)

  • Page 25: Survey Setup

    3.2 Survey setup Select the “Survey setup” item under the system menu, Survey setup include: ECG setup, SPO2 setup, NIBP setup, RESP setup, TEMP setup, CO2 setup, IBP(1,2) setup pop up the following menu (next chapter would be detail introduce to the setup function): Fig 3-3 Survey setup 3.3 SELECTION Select the “SELECTION”...

  • Page 26: Heart Beat Volume

    "OFF" level means the alarm sound is closed. WARINING Where the alarm volume of the system is set at OFF, the monitor will not give alarm sound in case of alarm, so you should use this function carefully. 3.3.2 HEART BEAT VOLUME In the “SYSTEM MENU”...

  • Page 27: Alarm Setup

    3.4.1 ALARM SETUP Alarm Setup has the following options: ALM REC TIME (Alarm Record Time): In case of physiological alarm, the system can record the information before and after the alarm time. The system can give three kinds of time, i.e., 4 seconds, 8 seconds, 16 seconds. The seconds in the options are the sum of seconds before and after the alarm time.

  • Page 28: Time Setup (System Time Setting)

    3.4.3 TIME SETUP (System Time Setting) "TIME SETUP" with options below: Setup year, month, day, hours, minutes and seconds. Pitch on the content required for correction. 3.4.4 3.4.4 NURSE CALL SETUP Options in nurse call setting: ALM ON/OFF: ON/OFF ALM LEV(Alarm lever): high, middle, low 3.4.5 MODULE SETUP Options in module setup: ECG and SpO2 are not optional.

  • Page 29: Work Interface Selection

    Factory software program determines the option module switch settings when CO2 (CO2 mainstream and sidestream module work), no AG the options appear AG , CO2-free options, in short, both only appear single, and will not appear in this menu 3.5 WORK INTERFACE SELECTION In the System Menu, select the “FACE SELECT”...

  • Page 30: Trend Table (Trend Figure)

    Trend gragh for the previous 120 hour can be diplayed in the resolution of one data per minute, per five minutes or per ten minutes. Users can select the TREND Diagram Review item under the System menu so as to pop up the following window: Fig 3-7 Trend Graph Parameter selection: HR、...

  • Page 31: Nibp Recall

    Fig 3-8 Trend Table Time corresponding to various groups of TREND data is displayed at the left column, with dates braced. What are listed is the cases that have once been marked, which corresponds to the time of the marked cases. Parameters in the TREND Figures can be categorized into the following 9 groups: ST1, ST2 T1，T2，TD...

  • Page 32: Reviewing Alarm

    The monitor can display the latest 2000 NIBP measurement data in the NIBP review function. After users select the NIBP Data Review item under the System menu, the windows will display the latest 10 NIBP measurement results and measurement time, as shown in the following: Fig 3-9 NIBP Recall Data is sorted in time sequence, from early to late, and each screen can display 10 times of measurement data, while users can select “...
  • Page 33 Fig 3-10 Alarm Recall condition 1. Setup up the “recall event” from start time/date to end time/date 2. Would be re-check the alarm status in “RECALL EVENT” menu , the events include “ALL , ECG ,SPO2 , NIBP , IBP , CO2 , RESP , TEMP” status. 3.

  • Page 34: Wave Recall

    3.10 WAVE RECALL In “main menu” selected the “WALL RECALL-Condition”could be recall the parts information or all information within memory data , following with figure below Fig 3-12 WAVE RECALL-Condition Setup the review types of the recall events and times , enter in “WAVE RECALL-Condition” selected “WAVE RECALL ”...

  • Page 35: Drug Calculation & Titration List

    Fig 3-14 Monitoring Information 3.12 DRUG CALCULATION & TITRATION LIST The portable-type multi-parameter monitor can provide the computation for 15 kinds of medicines as well as the Titration List Display Function, and output the content of Titration list on the recorder.

  • Page 36: Scr Lock(Screen Lock)

    Input the correct password and the system will enter the waveform demonstration state. Demo Waveform means the simulated one set by the manufacturer for showing the monitor performance and helping users with training. In the practical clinical l use it is prohibited to use such a function because it will make the medical personnel misthink they are the monitored patient’s waveforms and parameters so as to affect patient monitoring and delay treatment.

  • Page 37: Chapter4 System Work Interface

    Chapter4 System Work Interface 4.1 Work Interface Selection In the Main Menu, select the “FACE SELECT” to enter the dialog box in the following Figure. Here there are such seven interfaces to choose: STANDARD, LIST FACE, TREND SCREEN, oxyCRG SCREEN, BIG FONT, 7CH MULTI-LEADS DISPLAY, and Anesthesia-gas screen.

  • Page 38: Trend Screen

    Fig 4-2 List interface 4.1.3 TREND SCREEN Enter the “FACE SELECT” and select the “TREND SCREEN” in the Work Interface Selection menu to enter such an interface.

  • Page 39: Oxycrg Screen

    Fig 4-3 Trend Sreen Interface Location of trend diagrams TREND diagrams is located at right side of waveforms, with the same colors to the corresponding parameters. TREND length Dynamic trend length is 2 hours; in a trend diagram, the right side of the horizontal axis is 0 hour, and the left side is 2 hours.

  • Page 40: Big Font Interface

    Fig 4-4OxyCRG Screen TREND Diagram in oxyCRG Interface OxyCRG Dynamic Interface is consist of compressed respiratory wave and RR. OxyCRG Trend Length Selection Two hot key at the below part of dynamic interface: TIME and TYPE TREND Diagram for “1 minute” and “2 minute” can be selected through the trend time buttons.

  • Page 41: 7-Ch Multi-Leads Display

    Fig 4-5 Big Font Interface 4.1.6 7-CH MULTI-LEADS DISPLAY In the Work Interface Selection menu, select “7-CH MULTI-LEADS SCREEN” to enter the MULTI-LEADS SCREEN interface. Users could observe seven ECG channels in this screen, including II, I, III, AVR, AVL, AVF...

  • Page 42: Anesthesia-Gas Screen (Optional)

    Fig 4-6 6-CHANNEL ECG DISPLAY 4.1.7 ANESTHESIA-GAS SCREEN (optional) In the Work Interface Selection menu, select “ANESTHESIA-GAS SCREEN” to enter the anesthesia-gas interface: Fig 4-8 Anesthesia-gas screen...

  • Page 43: Chapter5 Recording

    Chapter5 Recording In the Main Menu, select the “MONITOR SETUP”, then to RECORD menu 5.1 General Information on the Recorder The recorder used with this monitor is a heat-sensitive array recorder, with print width of 50mm. Recorder capability 1. Outputted waveforms run at 25mm /sec or 50mm / sec 2.

  • Page 44: Frozen Waveform Record

    5.2.2 Frozen waveform record In case waveforms are frozen, the system can output the designated waveforms on the screen and in such a way record those unusual waveforms captured by freezing. 5.2.3 The contents of the real time recording Record time Record type :real-time print ,alarm trigger print ,frozen print ECG lead,1mV ruler, and gain Paper speed : 25mm /sec.

  • Page 45: Paper Loading Procedures

    5.3.4 Paper loading procedures Open the recorder door; Pull up the slide switch at the left rod of the recorder; Load new paper exactly following the paper inlet, with the print side toward the heat-sensitive head; Slightly pull the paper exposed from the other side, and align the paper properly; Pull back the slide switch at the left rod of the recorder;...

  • Page 46: Chapter6 Trend

    Chapter6 Trend It can store 120 hours trend data, 2000 NIBP and 500 alarm events and support recording. Observation methods are provided in this chapter. 6.1 TREND GRAPH (TREND Diagram) TREND diagram for the latest 1 hour can be displayed one data per second or one data per five seconds;...

  • Page 47: Select Trend Diagrams For Various Parameters To Be Displayed

    6.1.1 Select trend diagrams for various parameters to be displayed: Use the cursor to select the Parameter Selection option and revise the displayed contents. Upon display of the expected parameter, press the knob, then the TREND diagram for this parameter will be displayed in the window.

  • Page 48: Operation Sample

    6.1.6 Operation sample Observe the NIBP TREND diagram within the latest 1 hour: Press the TREND button on the control panel to pop up the Main menu; Select the TREND Diagram Review option in the menu; 1. Select the parameter: rotate the knob in the Parameter Selection item until “NIBP” is shown in the dropdown box;...

  • Page 49: Select Trend Figures In Various Resolutions

    Fig 6-2 Trend Table Time corresponding to various groups of TREND data is displayed at the left column, with dates braced. What are listed is the cases that have once been marked, which corresponds to the time of the marked cases. Parameters in the TREND Figures can be categorized into the following 9 groups: ST1, ST2 T1，T2，TD...

  • Page 50: Observe Earlier Or Later Trend Curves

    interval for TREND data. 6.2.2 Observe earlier or later TREND curves Press “ ” button or rotate the knob clockwise or anticlockwise so as to observe later or earlier TREND curves. 6.2.3 Observe TREND data of various parameters Press “ ”...
  • Page 51 Fig 6-3 NIBP RECALL Data is sorted in time sequence, from early to late, and each screen can display 10 times of measurement data, while users can Press “ ” button to view later or earlier data. Maximally 2000 measurement results can be displayed, and when the measure times are over 2000, only the latest 2000 will be displayed.

  • Page 52: Chapter7 Drug Calculation & Titration List

    Chapter7 Drug Calculation & Titration List The portable-type multi-parameter monitor can provide the computation for 15 kinds of medicines as well as the Titration List Display Function, and output the content of Titration list on the recorder. 7.1 DRUG CALC Medicines able to be calculated under this system are: aminophylline, dobutamine, dopamine, epinephrine, heparin, isuprel, lidocaine, nipride, nitroglycerin and pitocin.
  • Page 53 Medicine dosage = Infusion speed × Medicine contents Operation method: In the medicine calculation window, operators should firstly select names of the medicines to be calculated, and then confirm patient weight, and input other known values. Subsequently, operators move the cursor to the various calculation items in the calculation formulae, press the knob and rotate it, so as to select the calculation value.

  • Page 54: Titration

    altogether 15 types. At one time, only one type of medicine can be selected for calculation. Caution The above introduced A, B, C, D, and E are not actual medicine names but only codes for medicines. Units for these five types of medicines are fixed, and operators can select proper units based on general practice of medicines.
  • Page 55 Figure7-2 Titration List The specific operations are as follows: In the Titration list, move the cursor to the “Reference Item” with the knob first, and then press the knob to select the required item. “Dosage” and “Injection Speed” are two options. Move the cursor to the “Step Length”...

  • Page 56: Chapter8 Alarm

    Chapter8 Alarm 8.1 Alarm Type The monitor can give an alarm of three types: physiological alarm, technical alarm and prompt message. (1) Physiological alarm Physiological alarm is usually caused by a certain physiological parameter of the patient which exceeds the set upper/lower limit scope or by the physiological abnormality of the patient.

  • Page 57: Alarm Mode

    The patient’s vital signs are abnormal, relevant measures and treatment are immediately required. (3) Low level alarm : The patient’s vital signs are abnormal,and relevant measures and treatment may be required. All alarm levels for technical alarms and some physiological alarms have be set before the monitors are delivered:, the users are not allowed to change them.

  • Page 58: Alarm Information

    High level alarm: Do-Do-Do--Do-Do Medium level alarm: Do-Do-Do Low level alarm: Do 8.6 Alarm Information Prompting message means the related information will appear on the physiological alarm area or technical alarm area of the monitor when the alarm is active. The system will show different alarm levels in different background colors: High level alarm: Red Medium level alarm: Yellow...

  • Page 59: Setting The Upper And Lower Limits Of Alarm

    8.9 Setting the upper and lower limits of alarm Take ECG for example: Select ECG in the parameter area; In the popped-out menu ECG Setting, select the HR ALM SETUP; Set the upper and lower limits of HIGH LIMIT as 120bpm and 50bpm respectively; Set the upper and lower limits of MID LIMIT as 110bpm and 60bpm respectively Set the upper and lower limits of LOW LIMIT as 100bpm and 70bpm respectively Upon completion of setting, press the key “...

  • Page 60: Chapter9 Patient Safety

    Chapter9 Patient Safety The portable monitor is designed to meet the international safety requirements IEC60601-1, EN60601-2-27 and EN60601-2-30 formulated for medical electric equipments. It’s furnished with floating inputted defibrillation resistance and surgery electric knife protection. If correct electrodes (referring to the ECG and RESP chapters) are installed following supervision of the manufacturer, screen display will be recovered within 10 seconds after defibrillation.

  • Page 61: Monitor Earthing

    9.3 Monitor earthing To protect patients and medical staffs, the portable monitor must has its cover connected with the earth; for such reason the monitor is equipped with a dismountable 3-line cable, which should be plugged into a matching 3-line socket and further connected with the earth through the ground line of the power supply cable.

  • Page 62: Explanations On Symbols Used In The Monitor

    During work period the equipment must be made sure of no condensation. When the equipment is shifted from one room to another room, condensation may be formed as the equipment is exposed in moistured atmosphere and different temperature. Warning If the monitor is used where there are flammable anesthetic agents, there may be explosion.

  • Page 63: Chapter10 Maintenance & Cleaning

    Chapter10 Maintenance & cleaning 10.1 Maintenance check Before monitoring patients, you shall: ♦ Check whether there is any physical damage; ♦ Check all the disclosed leads, plugs, and accessories; ♦ Check all the functions to be used to monitor the patients and ensure the equipment works well;...

  • Page 64: Cleaning

    Do not soak the sensor in liquids. If the sensor or cable is damaged or has signs of deterioration, do not use again. 10.2.2 Cleaning The Monitor must be kept dust-free. Regular cleaning of the monitor shell and screen is strongly recommended.
  • Page 65 Caution Do not use ETO gas to disinfect the monitor. Use a moistened cloth to wipe up any agent remaining on the monitor Try to use low-content liquids or dilute liquids following the instructions of manufacturers. Don’t let any liquid enter the cover and don’t immerse any part of the equipment into any liquids.

  • Page 66: Chapter11 Ecg Monitoring

    Chapter11 ECG Monitoring 11.1 Definition of ECG Monitoring ECG monitoring describes continuous waveforms of cardiac activities of patients so as to accurately assess the current psychological status of the patients. Thus proper connection of ECG cables must be ensured in order to obtain correct measurement values. This portable monitor concurrently can display 2 waveforms under normal work status.

  • Page 67: Monitoring Procedures

    ensure all the ECG electrodes including neutral electrodes are attached with patient bodies instead of touching with electric conductive parts or the ground. Caution Disturbance from non-earthing equipments around a patient or ESU disturbance may affect waveforms to function improperly. Where this monitor is operated according to the conditions specified in the EN60601-1-2 (anti-radiation ability: 3V/M) and the electric-field strength above 1V/M may give rise to the measurement mistakes under various frequencies, it is suggested that the...

  • Page 68: Install Ecg Leads

    ECG cables, screen will display the error information of “Sensor disconnected” and activate voice alarming. 11.3.2 Install ECG leads Caution The following table lists the lead names under the European and US standards (leads are represented in R, L, N, F and C under the European standard and in RA, LA, RL, LL, and V under the US standard US standard European standard...

  • Page 69: Ecg Lead Connection Recommended For Surgery Patients

    Note: the sign name and color of the elec tro de is American standard, what inside the square brackets [-] are European standard. white electrode (RA) — Right foreleg ■ black electrode (LA)— Left foreleg ■ green electrode (RL)— Right hind leg. ■...

  • Page 70: Use The 5-Lead Ecg Device

    will be very small. Warning During use of ES equipments, don’t put electrodes near the earthing plate of such equipments, otherwise ECG signals will be much disturbed. 11.3.4 Use the 5-lead ECG device. Users may based on their requirements arrange leads at each channel. Lead names for each channel are displayed at left to the corresponding waveforms, and users can directly select them for revision.
  • Page 71 ○ ○ ○ ○ ⑤ Fig 10-4 ECG Hot Key ○ 1 Name of the First ECG Lead: ECG using 5-lead, the selectable leads include I, II, III, aVR, aVL, aVF and V; ECG using 3-lead, the selectable leads include I, II and III. (For neonate) The leads on the ECG waveform should not have the same name, otherwise the system will automatically change the similar name into another.

  • Page 72: Ecg Menu

    ○ 3 Filtering Mode: The cleaner or precise waveform can be obtained through filtering. There are three filtering modes for option. The unfiltered ECG waveform is shown in the diagnostic mode; the monitoring mode will possibly lead to the artifact filtering; the operation mode used in the surgery can reduce the artifact and interference from the electrosurgery unit.

  • Page 73: Ecg Setting In Waveform Area

    Fig 10-5 ECG Setup Alarm ON/OFF: Select “ON” to give alarm prompt and storage when the heart rate alarm happens. will be prompted beside ECG. Alarm record: Users can select “On” to print HR alarms when they happen ST ALM ON/OFF: Select "ON” in the event of ST1 or ST1 overrun alarm prompt and storage, select the "OFFs not an alarm, and ST1 next have "...
  • Page 74 Fig 10-6 ECG Setup Lead Name： ECG using 5-lead, the selectable leads include I, II, III, aVR, aVL, aVF and V; ECG using 3-lead, the selectable leads include I, II and III. Gain: used to adjust the amplitude of ECG waveform. The gain of each calculation channel can be selected, which has such columns as ×0.25, ×0.5, ×1 and ×2 as well as auto mode.

  • Page 75: Ecg Setting In Measurements

    11.5.3 ECG setting in measurements Fig 10-7 ECG Setting menu 1. When the heart rate alarm happens. Select “OFF” will be prompted beside ECG. 2. Alarm record: Users can select “On” to print HR alarms when they happen 3. Lead type: 5-lead or 3-lead 4.

  • Page 76: About St Monitoring

    with PR. 6. FILTER,SWEEP ,WAVE COLOR : See this chapter “ECG Settings” parameter area corresponding 7. NOTCH: When set to ON, it is a method of inhibiting the method and apparatus of the power frequency common mode interference, for bioelectric signals measurement system including a common mode interference signal extraction circuit and a drive circuit connected to the circuit;...
  • Page 77 11.5.4.1 Setting of ST Segment Analysis Menu ST Segment Analysis: this switch is mainly used to set the state of ST Segment Analysis. Only when the switch is ON, ST Segment Analysis can proceed. Alarm Switch: Where “ON” is selected, the alarm prompt and saving will proceed when ST analysis result is alarmed;...
  • Page 78 Fig10-8 Determine the ST Segment AP ISO and ST are two measuring points of ST Segment, which are adjustable. R wave crest point is the reference point in setting of ST measuring point (as shown in the following figure): R Wave ST Value BP: ISO -78 ms...
  • Page 79 to adjust the ST measuring point in the following methods. Method of Adjusting ISO and ST Adjust the values by turning the knob. Setting the measuring point of ST Segment, please open the “Determine Analysis Point” window and the window will show QRS wave-group module (if the channel is not opened, “ST Analysis Switch OFF”...

  • Page 80: Arrhythmia Analysis

    Prompt Message (including general alarm message): Prompt Alarm Causes Messages Level measurement The measured value for ST Segment of Channel 1 exceeds the measured High out of scope range. measurement The measured value for ST Segment of Channel 2 exceeds the measured High out of scope range.
  • Page 81 “High” means the most serious PVCs alarm. (4) ALM REC(Alarm Record): Select the “ON” and the recorder will output during PVCs alarm. (5) ALM HI(Alarm Upper Limit): PVCs alarm is based upon the set alarm upper limit. The alarm will happen when PVCs exceeds the upper limit. The adjustable range for upper limit and lower limit of alarm as follows: Name Max.
  • Page 82 patient’s arrhythmia information. The latest saved arrhythmia events are listed in the window (one page can show 10 events and at most 6 pages can display). Fig 10-11 Arrhythmia Review The latest saved arrhythmia events are listed in the window (one page can show 10 events and at most 6 pages can display).
  • Page 83 Fig 10-12 Arrhythmia Waveform Review Window Caution In the event that the number of arrhythmia event is more than 200, the monitor will retain the latest instead of the earliest. As for the monitor with the power-fail saving function, it can save 200 arrhythmia events with power-fail. Arrhythmia Alarm In case of arrhythmia, the system will give an alarm sound.

  • Page 84: Ecg Alarms & Reminders

    HR<100, RR interval < 1/3of average interval, after which Selectabl R ON T No pacing there is a compensation interval of which length is 1.25 x R-R e by users mean (next R waveform is moved up to the previous T wave.) Selectabl Single PVS No pacing Single PVS not belonging to the above types...
  • Page 85 in the alarming area, while technical alarms and those reminders unable to activate alarms are displayed in the information area. In this chapter all the descriptions on alarming applies out of the arrhythmia and ST segment analysis parts. When the alarming record function under relevant menu is turned on, those physical alarms activated because parameters exceed alarming limits may activate the recorder to automatically output alarming parameter values and the relevant measurement waveforms.
  • Page 86 error Stop using HR alarming Function safety and inform biochemical HR alarming limit error High error engineers maintenance personnel Keep patients silent, measurement electrode connection ECG over-disturbance signals are heavily reliable, and AC supply disturbed earthing well Reminders (including general alarming information): Reminders Causes Alarming levels...

  • Page 87: Chapter12 Resp Measurement

    Chapter12 RESP Measurement 12.1 Measure RESP 12.1.1 How to measure RESP This monitor measures RESP values from the breast impedance values at two electrodes; impedance change between such electrodes (due to breast activities) will generate a RESP waveform on the screen. 12.1.2 Setting of RESP monitoring For RESP monitoring, no additional electrodes are required, but how to install electrode is critical.

  • Page 88: Resp Setting In Parameter Area

    Fig 11-1 Install electrodes ■ white electrode (RA) — Right foreleg ■ black electrode (LA)— Left foreleg ■ green electrode (RL)— Right hind leg. ■ red electrode (LL)—Left hind leg. ■brown electrode (V) — Fourth intercostal space. Caution Install the white and red electrodes in a diagonal line so as to obtain the best RESP wave. Need keep the liver and heart area out of the line formed by such electrodes, so as to avoid artificial discrepancy generated from heart cover or pulsatile blood, which is very important for newborns.
  • Page 89 Fig 11-2 RESP Setup ALM ON/OFF(Alarm Switch): select the “ON” and the alarm prompt and saving will proceed during RR alarm; select the “OFF” and “ ” will be prompted beside RESP in the screen parameter area. ALM LEV(Alarm levels): High, MED or Low to be selected, and High for the most serious alarm.

  • Page 90: Resp Setting In Waveform Area

    12.3 RESP setting in waveform area Users can rotate the knob and move the cursor to the RESP hotkey on the parameter area of the main screen, then press the knob to enter the RESP Setting menu. Fig 11-3 RESP Setup GAIN(Waveform amplitude): Users can set enlarged display of RESP waveforms under five optional enlargement rates: ×0.25, ×0.5, ×1, ×...

  • Page 91: Resp Alarm Information And Prompt Information

    Fig 11-4 RESP Alarm Setup ALM ON/OFF: see reference in RESP Setting menu ALM LEV: see reference in RESP Setting menu ALM REC see reference in RESP Setting menu SWEEP: Waveform speed, Three optional speeds, 6.25mm/s, 12.5mm/s and 25.0mm/s WAVE COLOR: green, cyan, red, yellow, white, blue, violet RR Gain: Users can set enlarged display of RESP waveforms under four optional enlargement rates: 0.25, 0.5, 1.0, 2.0 and 4.0.

  • Page 92: Maintenance & Cleaning

    RESP measurements higher than the set RR too high User-selectable alarm upper limit RESP measurements lower than the set RR too low User-selectable alarm upper limit Breathing not detectable within a specific Apnea High time interval Table 12-2 Technical alarm: Prompt Alarm Cause...

  • Page 93: Chapter13 Spo2 Monitoring

    Chapter13 SpO2 Monitoring 13.1 Definition of SpO2 Monitoring The SpO2 volume recording parameter is used to measure arterial SpO2, i.e., percentage of oxyhemoglobin. For example, if there are 97% of hemoglobin molecules combining with oxygen out of the arterial red blood cells, the blood will be described as SpO2 97％, and the SpO2 reading on the monitor will be 97％.

  • Page 94: Precautions In Spo2/Pulse Monitoring

    The cable for the equipment of electrosurgery can’t be twisted together with the sensor cable. Warning Please don’t place the senor on the limb with arterial duct or vein injection syringe. Caution Please don’t place SpO2 detector and cover on the same limb for measurement of blood pressure, because in the course of measuring blood pressure the vascular obstruction will affect the BOS reading.

  • Page 95: Monitoring Procedures

    necrosis, which are especially easy to happen to the newborns or the patients with perfusion disorder or immature skin. In such a case special attention should be given to aiming the correct beam path at detection of sensor position according to the change of skin quality.

  • Page 96: Measurement Restriction

    excessive movement. Warning In a long and continuous monitoring process, check the condition of the peripheral circulation and skin under measuring every 2 hours or so, and if negative conditions happen, timely change the site under measurement. In a long and continuous monitoring process, it is advisable to check periodically the positioning of the probe to avoid inaccurate measurement due to changing in the positioning from moving or other factors.

  • Page 97: Spo2 Setting In The Parameter Area

    13.5 SpO2 Setting in the parameter area Users can rotate the knob and move the cursor onto the SPO2 hotkey in the parameter area, then press the knob to enter the SpO2 Setting menu. Fig 12-7 SPO2 Setup Warning Setting the SpO2 alarm upper limit to be 100% means to release the upper limit. However, high SpO2 level will make early-born infants infected with retrolental fibroplasias, thus the SpO2 alarm upper limit must be carefully selected based on common acknowledged clinical practice.

  • Page 98: Spo2 Setting In Waveform Area

    SpO2 & PR adjustable limits: Parameter Max upper limit Min lower limit Adjustable amount each time 100% 300bpm 15 bpm 13.6 SPO2 setting in waveform area Users can rotate the knob and move the cursor onto the SPO2 hotkey in the parameter area, then press the knob to enter the SpO2 Setting menu.

  • Page 99: Alarms & Reminders

    Figure 13-4 SPO2 setup ALM ON/OFF: see the content of this chapter parameter area the SPO2 set the “ALM ON/OFF” ALM LEV: see the content of this chapter parameter area the SPO2 set " ALM LEV ". ALM REC: see this chapter parameter area the SPO2 set “ALM REC”. SWEEP: see this chapter waveform area the SPO2 set "SWEEP”.
  • Page 100 Sp02 alarm information When the alarm record function under certain menus is on, those physical alarms caused because relevant parameters exceed the specified alarm limits will automatically output alarm parameter values and relevant measurement waveforms. Possible physical alarms, technical alarms and reminders during Sp02 module measurement are as listed here: Physical alarms: Reminders...

  • Page 101: Maintenance & Cleaning

    SPO2 module initialization wrong 6 SPO2 module initialization wrong 7 SPO2 module initialization wrong 8 Stop SpO2 module SPO2 module SpO2 module wrong or measurement function and advise High communication stop communication mistaken the biomedicine engineer or User Service Dept. SPO2 module communication wrong...

  • Page 102: Cleaning

    Use of the senor or cable is prohibited if they are damaged or degenerated. 13.9.1 Cleaning: Having cleansed the surface of the sensor with the cotton ball or cotton cloth soaked with medical alcohol, dry it with the dry cloth. The luminotron and receiver of the sensor can be cleaned in the same method.

  • Page 103: Chapter14 Nibp Monitoring

    Chapter14 NIBP Monitoring 14.1 General Information NIBP measurement can be performed in the oscillation method; It can be used in big cuff and small cuff( decided to use based on the animal's limbs cuff type); Measurement mode: manual, automatic and continuous measurement. Each mode can show NS, NM and ND.
  • Page 104 Warning The pumping pipe connecting blood pressure cuff and the monitor must be smooth, without any entanglement. 1. Insert the pumping pipe into the interface of a blood pressure cuff and turn on the power supply. 2. In accordance with the following method (Pic 14-1), tie the blood pressure cuff on upper arm of upper leg of a patient.
  • Page 105 measurements from palm measurement. Such as palm and the front of the tibia or the tail of the other parts of the dog, if the hair is very thick it will affect the measurement, the necessary hair cut Check the cuff edges are between the “<->” marks; otherwise users should change with a more proper cuff.

  • Page 106: Operational Guide

    Pet blood pressure cuff 4# 18 ～ 26 cm 10.6 cm 10.6 cm Pet blood pressure cuff 5# 46 ～ 66 cm 21 cm 21 cm 14.2.2 Operational guide 1. Conduct one time of Automatic measurement Enter the “NIBP Setting” menu, select a proper time interval at the “Time Interval” item, and press the “START/STOP”...

  • Page 107: Measurement Restriction

    Warning If NIBP measurement under the Automatic mode lasts too long, body touching with the cuff may have allergic purpuras, ischemia and neural injury. During monitoring on patients, users should often check color, warmness and sensitiveness of remote body parts. Once any abnormal phenomenon is found, users should put the cuff at another location or immediately stop measuring blood pressure.

  • Page 108: Nibp Parameter Setting & Adjustment

    Pressure change Within certain time if the patient blood pressure immediately changes while users are analyzing arterial pulse so as to obtain measurement values, measurement will be unreliable or even impossible. Serious shock In case a patient is under serious shock or extreme low temperature, measurement will be unreliable as reduction in blood flowing peripherally will result reduction in arterial pulse.
  • Page 109 Fig 13-4 NIBP Setup ALM ON/OFF(Alarm switch): Where “ON” is selected, the alarm prompt and saving will proceed when the pressure is alarmed; where “OFF” is selected, alarming will not happen, but will be prompted beside NIBP in the screen parameter area.

  • Page 110: Nibp Setting In Measurements

    NM upper limi：22-165 mmHg lower limit： 20-163 mmHg 14.4 NIBP setting in measurements Users can rotate the knob and move the cursor onto the SPO2 hotkey in the parameter area, then press the knob to enter the NIBP Setting menu. Fig 13-5 NIBP Setup ALM ON/OFF: Where “ON”...

  • Page 111: Nibp Pressure Calibration

    value of blood pressure pump will recover the initial settings. When blood pressure pump is not working properly but the monitor does not question why, this is the recommended key. Because it allows self checking of blood pressure pumps, allowing automatic recovery of pump exception due to some accident.

  • Page 112: Gas Leakage Detection

    Standard pressure meter Gas pipe Metal vessel Round pump Fig 13-6 Connection for NIBP calibration 14.6 Gas leakage detection This button is used to detect gas leakage from the NIBP measurement pump. Users, after connecting with a NIBP cuff, can use this button to start NIBP pumping process so as to observe whether the NIBP gas route is sealed well.

  • Page 113: Nibpalarms & Reminders

    In about 20 seconds, the system will automatically open the air bleeder, indicating completion of gas leakage measurement. No reminder information displaying on the NIBP parameter area doesn’t mean no gas leakage within the system. Display of “Pump leaking…” means there is possible gas leakage with the gas route, in such case operators should check whether there is any loose connection, and after making sure of no more loose connection re-do the gas leakage detection;...
  • Page 114 levels Function/ Stop using the NIBP module alarming alarming limit safety High function and inform biochemical engineers error failure or our maintenance team Function/ Stop using the NIBP module alarming alarming limit safety High function and inform biochemical engineers error failure or our maintenance team Function/...
  • Page 115 or irregular PR movement movement Pressure Re-measure. If the problem continuous, Overpressure exceeding stop using the NIBP measurement module High protection specified upper and inform biochemical engineers or our limit maintenance team Significant Signal saturation Stop the patient from movement movement Check and change the part(s) with Leakage during...

  • Page 116: Nibp Alarm Information

    Measurement stopped During measurement users press the START button to stop measurement Calibration… Calibration in process Calibration stopped Calibration completed Gas leakage detection… Gas leakage detection in process Gas leakage detection stopped Gas leakage detection is stopped Module reset… Reset after NIBP module is loaded Manual reset…...

  • Page 117: One-Time Blood Pressure Cuff

    Fig 13-8 Change the tape inside cuff To put the rubber bag back into the cuff, users should put the rubber bag near the cuff opening side, making the rubber pipe aligned with the long opening of the cuff, then vertically roll the rubber bag and insert it into the long opening, hold on the rubber pipe and cuff, and then shake the whole cuff until the rubber gag is positioned exactly.

  • Page 118: Chapter15 Temp Monitoring

    Chapter15 TEMP Monitoring 15.1 TEMP Monitoring The monitor has two TEMP measuring channels. The temperature data can be measured with the TEMP detector. Teperature is not a standard configuration for the neonatal monitor. 15.1.1 TEMP measurement setting For one-time TEMP detectors, users must insert the TEMP cables into slots and then connect the detectors with such cables;...

  • Page 119: Temp Setting In Parameter Area

    15.2 TEMP setting in parameter area Users can use the knob to move the cursor onto the TEMP hotkey in the parameter area and press the knob to enter the TEMP Setting menu. Fig 14-1 TEMP setting Alarm Switch: Select “ON” and the alarm prompt and saving will proceed when TEMP is alarmed;...

  • Page 120: Temp Setting In Measurements

    15.3 TEMP setting in measurements Fig 14-2 TEMP setting Alarm Switch: Select “ON” and the alarm prompt and saving will proceed when TEMP is alarmed; select “OFF” and no alarm will happen, but will be prompted beside TEMP in the screen parameter area. Alarming levels: High, Middle or Low to be selected by users to set alarming levels.

  • Page 121: Maintenance & Cleaning

    because relevant parameters exceed relevant alarming limits will activate the recorder to automatically output alarming parameter values and relevant measurement waveforms. The physical alarms, technical alarms and reminders possible happening during TEMP measurement are listed as follows: Physical alarms: Reminders Causes Alarming levels T over-high...
  • Page 122 During use of straight detectors, users should cover them with protective adhesive. When cleaning detectors, users should use one hand to hold on one end and the other hand to downward hold wet lint-free cloth to wash detectors towards the connector direction. Caution If you are using a one-time TEMP detector, this detector is allowed to be re-disinfected or reused.

  • Page 123: Chapter16 Co2 Monitoring

    Chapter16 CO2 Monitoring 16.1 General The contents of this section are just the descriptions of the ways of measurement by sidestream and mainstream CO modules, which are different from the working mode of CO measured in an anesthetic gas (AG). Please note their differences. This instrument measures the CO pressure of the patient's air circuit, can measure the content of end-of-respiration CO...

  • Page 124: Measuring Principle And Working Process

    Do not use this instrument where combustible anesthetic gases are present in the environment. Attention This instrument can be operated only by professionals who are occupationally trained and familiar with this manual. In the “Monitor Settings” main menu, select “Module Switch Settings”, set the CO switch to On, as shown in the figure below: Figure 16-1 CO...
  • Page 125 (1) The schematic of connection of the mainstream module produced by the RESPIRONICS company is shown in the figure below: Figure 16-2 Mainstream Mode CO Connection (2) The schematic of connection of the sidestream module produced by the RESPIRONICS company is shown in the figure below: Figure 16-3 Sidestream Mode CO Connection Schematic (3) The schematic of connection of the ISA™...
  • Page 126 company is shown in the figure below: Sampling tube Figure 16-4 ISA™ Sidestream Analyzer (ISA CO ) CO Connection Schematic (4) The schematic of connection of the IRMA™ mainstream analyzer produced by the PHASEIN company is shown in the figure below: Figure 16-5 IRMA™...

  • Page 127: Co 2 Measurement Procedures

    Before use, please check airway joints. Do not use when visible damage or breaks are found on the airway adapter. Warning When CO is not used, it must be turned off, otherwise the CO module will be in a working condition all the time 16.4 Measurement Procedures Based on different CO...
  • Page 128 (4) Enter into the conventional screen of the host monitoring equipment, select [Exchange Waveform] to call out the “CO ” waveform and parameters which you want to monitor, such as [CO ] (this step can be skipped if the screen has already displayed the “CO ”...
  • Page 129 4, 500 1371. 6 5, 000 1524 5, 500 1676. 4 6, 000 1828. 8 6, 500 1981. 2 7, 000 2133. 6 7, 500 2286 8, 000 2438. 4 8, 500 2590. 8 9, 000 2743. 2 10, 000 3048 10, 500 3200.

  • Page 130: Measuring Procedure Of Phasein Branded Sidestream And Mainstream

    By setting sea-level elevation, the monitor is not automatically changed with air pressure compensations. Correct sea-level elevation must be set before the first use of CO Measurement Program. Improper setting of sea-level elevation will result in incorrect CO readings. A 5% CO deviation is generally generated corresponding to difference of each 1000m height.
  • Page 131 Connect the interface cable of the ISA analyzer to the CO interface of the CO plug-in module or the minihost. Enter into the conventional screen of the host monitoring equipment, select [Exchange Waveform] to call out the “CO ” waveform and parameters which you want to monitor, such as [CO ] (this step can be skipped if the screen has already displayed the “CO ”...

  • Page 132: Co2 Settings In Parameter Area

    with the sampling pipe. Attention If the interface shows the prompt of ‘no connection to the oxygen sensor’, please reinstall the oxygen sensor. Attention The end of the gas circuit adapter which connects the gas sampling pipe should point upward so as to prevent the condensing water drops entering the gas sampling pipe and blocking it up.
  • Page 133 Figure 16-6 CO2 Settings ALM ON/OFF(Alarm Switch): select “On" to enable CO2 alarms, or select “Off" to disable CO2 alarms with the icon “ ” appearing beside “CO2” in the parameter area on the screen. ALM REC(Alarm Record): select “On” to enable the recorder output when there is any CO2 alarm.

  • Page 134: Co2 Settings In Waveform Area

    AWRR ALM SETUP: Used for to adjust AWRR the upper and lower limits of the range of the high limit, middle limit and lower limit alarm . When the alarm limit CO2 measurement value is greater than or less than the alarm limit , the instrument alarm and prompt ZERO CAL: zero before monitoring the CO2, in order to obtain a more accurate measured value.

  • Page 135: Discharging Waste Gases

    Figure 16-8 CO2 Settings Note: Refer to the section “CO2 Settings in Parameter Area” for the specific options of the menu “CO2 Settings” in “Measurement Setup”. Warning This monitor does not provide auto atmospheric pressure compensation. Please set a correct altitude before the first use of the CO2 for measuring. Any wrong altitude could result in an inaccurate CO2 reading: a reading error of 5% for each altitude deviation of 1000m.

  • Page 136: Maintenance And Cleaning Of Respironics Branded Mainstream And Sdestream

    as to prevent medical personnel from inhaling the anesthetic. 16.9 Maintenance and Cleaning of RESPIRONICS Branded Mainstream and Sdestream Modules 16.9.1 Common Cleaning Clean with cloth, optionally dipped with 70% isopropanol, aqueous solution containing 10% sodium hypochlorite (bleacher), sterilizing spray cleaner (such as Steris Coverage Spray HB), ammonia water or mild soap water.

  • Page 137: Sterilization Times For Reusable Airway Adapter

    16.9.4 Sterilization Times for Reusable Airway Adapter The reusable airway adapters can be reused 100 times if the above sterilization method is used. 16.9.5 Zeroing Please zero before monitoring CO ; zeroing is to eliminate the effect of baseline drifting on the results during measurement, thus ensuring the correctness of measured results.

  • Page 138: Co 2 Module Lighting Information

    (settable) condition, zeroing can be executed. Warning Since successful zeroing requires that the gas analyzer exists in the ambient air (21% oxygen and 0% CO ), you should make sure that the ISA is placed at a well ventilated position. Before and after executing the zeroing procedure, avoid breathing in the vicinity of the ISA sidestream gas analyzer.

  • Page 139: Chapter17 Ibp Monitoring

    Chapter17 IBP Monitoring 17.1 16.1 General information This chapter mainly introduces invasive blood pressure (IBP) monitoring methods and contents relevant to maintenance and cleaning of accessories. STAR8000H portable-type multi-parameter monitor can be directly used for measuring vascular pressures (diastolic pressure, systolic pressure and mean blood pressure). The following waveforms can be displayed: Waveform Name Definition...

  • Page 140: Monitoring Procedure

    Users, when connecting the monitor with a high-frequency surgical instrument, should avoid the sensor and cable of the monitor from contacting the high-frequency surgical instrument so as to prevent patients from being burnt in case of electricity leakage. Warning The disposable pressure sensor should not be reused. Caution Only the pressure sensor specified in the Manual can be used.

  • Page 141: Ibp Menu

    Warning If bubbles are found in the pressure pipe or the sensor, flush the system with the perfusion liquid. 1. Position the sensor on the same level as the heart, approximately on the midaxiallary line 2. Confirm correct ruler names have been chosen. See the following section for details.
  • Page 142 Fig 17-2 IBP Parameter Setting Menu Settings can be done on the following items: ALM ON/OFF(Alarm switch): Where “ON” is selected, the alarm prompt and saving will proceed when the IBP (invasive blood pressure) is alarmed; where “OFF” is selected, alarming will not happen, but will be prompted beside IBP in the screen parameter area.
  • Page 143 CH2: ART, PA, CVP, RAP, LAP ,LAP ,ICP ,P1,P2 limit Lo setup: SYS: Lower SYS alarm limit: used for setting the lower alarm limit MEA: Lower MEA alarm limit:used for setting the lower alarm limit DIA: Lower DIA alarm limit: used for setting the lower alarm limit Caution Users should guarantee that zero calibration has been done on the sensor before the measurement;...

  • Page 144: Ibp<1,2>Setup In The Waveform Area

    choice range is the measurement range of the current pressure. • Mean scale: he pressure value represented by the middle scale limit. The choice range is the measurement range of the current pressure. Caution The upper scale limit value should not be lower than the lower limit value. Caution The lower scale limit value should not be higher than the upper limit value.

  • Page 145: Ibp<1,2>Setup In The Measurement Setup

    SWEEP:12.5mm/s,25mm/s FILTER: smooth, normal ,no filter WAVE COLOR:green ,cyan , red ,yellow ,white ,blue , purple WAVE TYPE:line,fill 17.4.3 IBP<1,2>setup in the measurement setup Select the “Module Setup” option in the “monitor setup” menu and set the CO2 on-off to be on. The following figure (the present figure is in demonstrating mode) will come out: Press the knob to enter the “IBP selection”...

  • Page 146: Zero Calibration Of Sensor

    AGJUST DEFAULT: checked into the IBP <1,2> Default Settings dialog box, select "No" to abandon the current operation, the system remains the original configuration unchanged, select "Yes", and will be using the default settings,the original configuration will be overwritten. IBP PRESSURE ZERO CH1 ZERO: the IBP1 and IBP2 module into the socket, the need for invasive pressure zeroing.

  • Page 147: Mercury Manometer Calibration Procedures

    blood pressure gauge Fig 16-5 Connection layout of IBP pressure calibration Calibration of the mercury manometer should be done when a new sensor is being started to use or at the specified cycle in the hospital practice. The purpose of calibration is to ensure the system to provide accurate measured results. Before calibration of the mercury manometer, pressure zero calibration should be done.
  • Page 148 the other end. ⑤ Open the end open to the blood pressure gauge. ⑥ Select the channel to be calibrated in the pressure calibration menu and adjust the pressure values of the channel to be calibrated. ⑦ Charge gas to raise the scale of the mercury column to the set pressure value in the menu.

  • Page 149: Alarm Information And Prompt Information

    17.7 Alarm information and prompt information 17.7.1 Alarm information When alarm record switches in related menus are turned on, physiological alarms given when parameters exceeds alarm limits will trigger the recorder to automatically output alarmed parameters and related measured waveforms. Possible physiological alarms, technical alarms and prompt messages in IBP module measurement are listed in the following tables: Physiological alarms：...
  • Page 150 Warning Please turn off the monitor and disconnect the AC power supply before cleaning the monitor or sensor. When the operations of pressure monitor is finished, please remove the airway and cap from the sensor and clean the film of the sensor with water. You can use the soapy solution or any of the following detergents to clean the sensor and cable.
  • Page 151 Follow the above steps to remove the visible dirt. In order to restrict the ethylene glycol, please make sure the sensor is completely dry when you use the ethylene oxide gas disinfectant. Please follow the operating instructions provided by the manufacturer of the gas disinfectant.

  • Page 152: Chapter18 Measurement Of Anesthetic Gases

    Chapter18 Measurement of Anesthetic Gases 18.1 Overview Anesthetic gas (AG) is used to measure the anesthetic gases and breathing gases for the patients under anesthesia. This module provides the end-tidal value (et) and inhalation value (in) of the following gases: CO2 ——...

  • Page 153: Ag Display

    Measurement Principle for Anesthetic Gases: Measure the AG concentration based on the AG ability of absorbing infrared rays. All gases to be measured by the AG module should be able to absorb infrared rays, and each gas has its own absorption characteristics.

  • Page 154: Mac Value

    Fig. 17-1 AG Display Interface The AG module can display all the measured waveforms and parameters on the screen of the monitor, including: CO2, O2, N2O, and AA waveform; AWRR: airway respiration rate; MAC: minimum alveolar concentration; CO2, O2, N2O, and AA end-tidal (Et) value and inhalation (Fi) value. “AA”...

  • Page 155: Preparations For Measurement

    Caution The above data of a 40-year-old healthy male patient comes from ISO21647 and is published by FDA. In practice, such factors as age and weight may influence the effect of inhalational anesthetic agent. Below is the formula to calculate the MAC value in the presence of one or more anesthetic agents: “N”...

  • Page 156: Ag Setup

    Fig. 17-2 Connection Diagram for Preparations 5. Select “Measurement Setup” from the main menu or menu bar to enter “AG CO2” and “AG N2O”, and set the operation mode as “Measure” to enable AG. Caution The end of the airway adapter connected to gas sampling tube should face up, in order to prevent condensed water drops entering and blocking the gas sampling tube.
  • Page 157 CO2 hotkey in the parameter area, and then press the shuttle button to enter the menu “CO2 Settings”. Fig. 17-3 CO2 Settings ALM ON/OFF(Alarm Switch): select “On" to enable CO2 alarms, or select “Off" to disable CO2 alarms with the icon “ ”...

  • Page 158: O2 Settings

    Fig. 17-4 AG CO2 Settings Waveform Speed: 12.5mm/s or 25.0mm/s. Waveform Color: Green, Cyan, Red, Yellow, White, Blue, or Purple. Gain: ×1, ×2, or ×4, to adjust the wave amplitude of the CO2 waveform. 3. CO2 Settings in Measurement Setup In the AG interface, rotate the shuttle button to move the cursor on the display interface to “Measurement Setup"...
  • Page 159 ALM ON/OFF: select “On" to enable O2 alarms, or select “Off" to disable O2 alarms with the icon “ ” appearing beside “O2” in the parameter area on the screen. ALM LEV: High, Medium, or Low; “High” is most serious. Oxygen Compensation: HIGH ,MED ,LOW.

  • Page 160: N2O Settings

    18.6.3 N2O Settings 1. N2O Settings in Parameter Area In the AG interface, rotate the shuttle button to move the cursor on the display interface to the N2O hotkey in the parameter area, and then press the shuttle button to enter the menu “Laughing Gas Settings”.

  • Page 161: Ag Aa Settings

    Fig. 17-8 N2O Settings Waveform Speed: 12.5mm/s or 25.0mm/s. Waveform Color: Green, Cyan, Red, Yellow, White, Blue, or Purple. Gain: ×1, ×2, or ×4, to adjust the wave amplitude of the N2O waveform. 3. N2O Settings in Measurement Setup In the AG interface, rotate the shuttle button to move the cursor on the display interface to “Measurement Setup"...
  • Page 162 Fig. 17-9 AG Settings ALM ON/OFF Oxygen Compensation: HIGH ,MED ,LOW. ET ALM SETUP :set high alarm limit ,middle alarm limit ,low alarm limit. if the measured ET value exceeds the limit, there will be an alarm and prompting FI ALM SETUP : set high alarm limit ,middle alarm limit ,low alarm limit. if the measured ET value exceeds the limit, there will be an alarm and prompting DEFAULT: select “Yes”...

  • Page 163: Aderse Effects On Performance

    In the AG interface, rotate the shuttle button to move the cursor on the display interface to “Measurement Setup" in the menu bar or enter “Measurement Setup" in the main menu to select “AG Setup” and “AG AA”, and then press the shuttle button to enter the menu “AG AA”. Refer to the section “AG AA Settings in Parameter Area”...

  • Page 164: Safety Alarm Information

    pressure, will be displayed. 20.8 vol% of oxygen corresponds to the actual oxygen concentration of indoor air (the water concentration is 0.7 vol%) (for example: at 1013 hPa, corresponding to 25°C and 23% RH). The actual partial pressure at the current humidity level will be displayed all the time when CO O, oxygen and anesthetic gases (all the gases measured the infrared cell) are measured.
  • Page 165 The ISA sidestream gas analyzer is designed to be used by authorized or trained medical personnel. Only Nomoline sampling tubes produced by PHASEIN can be used. The ISA sidestream gas analyzer shall not be used in an inflammable anesthetic gas. You should earnestly neaten the sampling tube in order to reduce the risk of it wrapping or reining the patient.

  • Page 166: Isa Mainstream Gas Analyzer Safety Warning Information

    evaluation. It must be used together with other vital sign and symptom evaluation equipment. If the input interface of the sampling tube starts showing red blinking, or a Nomoline clogging message is displayed on the host, the sampling tube should be replaced.
  • Page 167 since the adapter will add 6ml of invalid cavity to the patient circuit. If the airway adapter has water drops/condensation, it should be replaced. Use an IRMA airway adapter made by PHASEIN. Do not use an IRMA small airway adapter on a big animal; otherwise it will result in a too big flowing resistance.

  • Page 168: Airway Obstruction

    Never place the IRMA airway adapter somewhere between the trachea catheter and the elbow; otherwise it may result in the adapter window being clogged by the patient’s secretions and operating errors. In order to prevent secretions and moisture from aggregating at the window and the oxygen sensor port, always place the IRMA probe at a vertical position and let the LED face upwards.

  • Page 169: Discharging Waste Gases

    sampling tube. Warning Do not use the ISA gas analyzer together with a quantitative spraying agent or pulverization treatment; otherwise it may result in the clogging of the germ filter. 18.10 Discharging Waste Gases When nitrous oxide and/or an anesthetic gas is used, you should prevent these gases from polluting the operating room.
  • Page 170 Operation Instructions Please refer to operation instructions ISA operating instructions Please refer to ISA operating instructions Catalog number Serial number Lot No.: Effective period: The equipment can no longer be run after the date [YYYY-MM-DD] nearby the symbol. Temperature limitation Pressure limitation Humidity limitation No repeated usage...

  • Page 171: Patents And Trademarks

    - IRMA CO , 41°C/106°F - IRMA OR，45°C/113°F - IRMA AX+，50°C/122°F Carbon dioxide ISA equipment measures CO only Multi-gas (AX+ or OR+) ISA equipment can measure multiple gases设 PHASEIN Sigma multi-gas technology is applied in Sigma multi-gas technology the product Gas inlet Gas outlet (discharge) Illustration of the connection of Nomoline to the...

  • Page 172: Cleaning The Analyzer

    of the manufacturer for maintenance. 18.15 Cleaning the Analyzer The “Plug in and measure” ISA sidestream gas analyzer should be cleaned regularly. Use ethanol or isopropyl alcohol with a maximum concentration of 70% and a wet rag to clean the analyzer.. In order to prevent the cleaning liquid and dust from entering into the ISA gas analyzer from the LEGI interface, the Nomoline sampling tube should be connected all the time during analyzer cleaning.

  • Page 173: Appendix I. Accessories

    Appendix I. Accessories Please use the accessories below for this patient monitor, as recommended by the manufacturer: Warning Only use our cardiac electric cable and other accessories, or the instrument may be damaged or has poor performance and safety. Standard accessories： Code Name Quantity...
  • Page 174 NELLCOR blood oxygen extension wire / 1PCS 009-000466-00 DOC-10 Blood oxygen probe/ Veterinary /NELLCOR 1PCS 040-000076-00 VETSAT® V-SAT D-YS 040-000012-00 Invasive blood pressure cable 2 PCS 040-000013-00 Invasive blood pressure sensor 2 PCS 099-000005-00 CO2 module REF:1015928 1 PCS Airway adapter used for a single patient 040-000021-00 1 PCS REF:6063-00...

  • Page 175: Appendix Ii. Specification

    Appendix II. Specification Monitor type Name Type belongs to Class I, Type CF application part, Type BF application part anti-defibrillator devices with internal power supply Among classified by electric shock which except for the cardiac electrophysiologic detecting part, which protection belongs to Type CF application part, other detecting part belong to Type BF application part IEC 60601-1;...
  • Page 176 display information Maximum7 waveforms display Resolution 800×600 (4) Battery Name Specifications Battery Specifications 12V Lithium Battery In fully-charged normal-using conditions, battery can continuously Working time work for at least 4 hours. (5)Record Name Specifications width of chart paper 50mm valid width of recorder 48 mm Paper speed 25/50 mm/s...
  • Page 177 Indication Scanning speed 12.5、25、50mm/s Gain selection ×1/4、×1/2 、×1、×2、×4 Cardiac Electrophysiology ≤30μVP-P. Noise level Cardiac Electrophysiology ≤0.1μA Input loop current Input impedance ≥5MΩ Cardiac Electrophysiology common mode rejection ≥105dB ratio(CMRR) Monitoring, surgical mode: ≥0.3s; Time constant Diagnosis mode: ≥3.2s. protection defibrillator Recovery time no more than 5s after resetting discharge Heart rate algorithm...
  • Page 178 Simulate: Upper limit of alarm: 3%～100% Lower limit of alarm: 0%～99% Error of alarm should be setting value±1% PR range and accuracy Comen range：20 - 254bpm accuracy：± 3 bpm    　 Masimo range：25 - 240 bpm accuracy：± 3 bpm (no movement) ±...
  • Page 179 Systolic blood pressure 40-200mmHg Measurement diastolic pressure 10-150mmHg range for small Mean blood pressure 20-165mmHg ±5mmHg, when non-invasive BP exceeds the above Accuracy range, the monitor can still display normally, but without accuracy Range Scope: should be 0mmHg～300mmHg。 accuracy should be ± 3mmHg accuracy static pressure Range...
  • Page 180 （10）Respiration specification Name Specifications Thoracic impedance method 6bpm-120bpm Measuring range Respiration rate Small 6bpm-150bpm detection and accuracy Accuracy ±1bpm Upper limit 8bpm-120bpm narrower than Lower limit 6bpm-118bpm narrower than Accuracy and error of preset alarm Upper limit 8pm-150bpm respiration rate narrower than Small Lower...
  • Page 181 （12）IBP Specifications Name Specifications Number of IBP channel 2 channels Artery pressure(ART), pulmonary artery pressure(PA), central vein Names of channel pressure(CVP), right atrial pressure(RAP), left atrial pressure(LAP), pressure intracranial pressure(ICP), plus pressure(P1,P2). 0～40kPa（0～300mmHg） -0.8～16kPa(-6～120 mmHg) -1.3～5.3kPa(-10～40mmHg) Range and accuracy of -1.3～5.3kPa(-10～40mmHg）...
  • Page 182 －2)% upper limit (lower limit ＋ 2)~100% FiO2 ±1% lower limit 18~ (upper limit －2)% upper limit (lower limit ＋2) 20~100% EtN2O ±1% lower limit 0~ (upper limit － upper limit (lower limit ＋2) 20~100% FiN2O ±1% lower limit 0~ (upper limit － upper limit (lower limit ＋...

  • Page 183: Appendix Iii. Description Of System Alarm Prompt

    Appendix III. Description of System Alarm Prompt PROMPT MESSAGE CAUSES SOLUTIONS XX is higher than the upper limit value "XX is too high " Check whether the alarm limit values are of alarm limit. suitable, and the current status of the XX is lower than the lower limit value patient.
  • Page 184 are connected correctly. Check the current status of the patient, "BRADY (bradycardia)" The patient suffers from bradycardia. and whether the electrode and lead cable are connected correctly. Check the current status of the patient, The patient suffers from arrhythmia of "VT>2 (multiple PVS)"...
  • Page 185 Check the connection of ECG R-lead Stronger interference signal appear in "ECG interference too strong " cable, the current status of the patient and ECG signal. whether more actions happen. "XX module initialization wrong Error X appears when XX module is X"...
  • Page 186 "Key wrong "; " Keyboard wrong 1"; " Keyboard wrong 2"; "Network initialization wrong (G.)" " Network initialization wrong (Ram)" " Network initialization wrong (Reg)" Something wrong happens to the Please contact the manufacturer for " Network initialization wrong network of the system so the system maintenance.
  • Page 187 After the recorder is fully cooled, do the Maybe the continuous recording time is record output. If the fault still exists, "Recorder head too hot " too long. please contact the manufacturer for maintenance. "The position of the recorder The paper-pressing handle of the Depress the paper-pressing handle of the head wrong "...
  • Page 188 After inspecting whether patient type is Something wrong happens to the set correctly, please check the connection measuring curve so that the system can "Signal too weak " of all parts or replace a cuff. If the error measurement, analysis persists, please contact the manufacturer calculation.
  • Page 189 measuring curve so that the system can checking the connection of all parts and measurement, analysis the patient's condition. If the error calculation. persists, please contact the manufacturer for maintenance.
  • Page 190 Shenzhen Comen Medical Instrument Co., Ltd. www.szcomen.com Floor 7, Block 5, 4th Industrial Area of Nanyou, Nanshan District, Shenzhen, China Tel: +86-755-26408879 Fax: +86-755-26401232...

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